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Democrats optimistic on healthcare bill prospect

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Democrats optimistic on healthcare bill prospect

House Speaker Nancy Pelosi said on Tuesday she was sure Democrats in the U.S. House of Representatives and Senate would produce a final healthcare reform plan that would hold insurers accountable and make medical coverage affordable.

She did not promise the legislation would include the government-run insurance plan favored by the House but rejected by the Senate. Democratic lawmakers are now trying to reconcile competing versions of healthcare reform into a bill that can be passed by the full Congress.

Pelosi told reporters measures passed by the House and Senate to revamp the $2.5 trillion U.S. healthcare system would be unified within weeks into a historic bill for President Barack Obama to sign.

“There’s much we have in common in both our bills and we will reconcile this legislation,” Pelosi said.

“We want our final product … to ensure affordability for the middle class, accountability for the insurance companies as it provides accessibility by lowering cost for every stage.”

The House bill which passed in early November would set up a government-run insurance program, but the Senate bill which passed on December 24 would not.

Pelosi, who has backed off demands for the so-called public option in the final bill, said, “We will have what we need to hold the insurance companies accountable.”

“I contend that whatever we have coming out of this bill will hold them accountable and they’ll be crying out for a public option one of these days,” Pelosi said.

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Health reform moves to close U.S. Medicare drug gap

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Health reform moves to close U.S. Medicare drug gap

Democratic leaders moved on Friday to build support among the elderly for a massive overhaul of the U.S. healthcare system, saying the measure would immediately start closing a gap in Medicare prescription drug coverage.

The coverage gap, the so-called doughnut hole, occurs after a certain amount of money is spent. This year that level is $2,700 of which $896 is out of pocket expenses by the beneficiary. Coverage begins again once drug costs reach $6,154.

Speaker Nancy Pelosi said the healthcare reform bill being considered by the House of Representatives would reduce the that doughnut hole and lower the cost of medicine for as many as 4 million elderly next year.

“As of January 1, 2010, our legislation will give a 50 percent discount for brand-name drugs to recipients in the doughnut hole, and it will reduce the size of the doughnut hole by $500,” Pelosi said.

An earlier version of the bill would have started closing the doughnut hole beginning in January 2011.

House Democratic leaders are working to merge three healthcare reform bills approved by committees into a single bill that can pass the House and give President Barack Obama a major victory on a top domestic priority.

The emerging bill would also gradually eliminate the gap in prescription drug coverage in 10 years. The earlier version of the bill would have eliminated the gap in 15 years.

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Combo pill an option for diabetes-related nerve pain

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Combo pill an option for diabetes-related nerve pain

A single pill containing the pain relievers tramadol and acetaminophen is as effective as the drug gabapentin for treating diabetes-related nerve pain, according to study findings presented Tuesday at the 20th World Diabetes Congress in Montreal.

Gabapentin is an anti-seizure drug frequently prescribed for epilepsy. The drug is also used to treat persistent neurological pain.

In general, gabapentin is regarded as a first-line therapy for “diabetic neuropathy” — a painful condition that causes a range of symptoms from a tingling sensation or numbness in the toes and fingers to paralysis, lead researcher Dr. Bong Yun Cha, from the Catholic University of Korea, Seoul, told Reuters Health.

In the current study, Cha and colleagues compared gabapentin with the tramadol/acetaminophen (TA) combination pill in adults with painful diabetic neuropathy in the lower extremities. Sixty-six study subjects received TA and 73 received gabapentin.

The study was sponsored by JANSSEN KOREA, which markets the combination pill as Ultracet in the US.

Cha and colleagues report that the two groups experienced similar improvements in pain and related parameters over the 6-week study period.

Moreover, the rate of treatment-associated side events in the TA group was not significantly different from that in the gabapentin group: 50.6 percent vs. 36.9 percent.

The current findings, said Cha, support TA as a suitable alternative to gabapentin as a first-line therapy for painful diabetic neuropathy.

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